Nokea
The wife of a client who is alcoholic asks the nurse how to respond to him in a helpful way when he is disruptive in family life. Which is the nurse's best response?
- A. Help him avoid embarrassment by supporting him when he makes excuses for failing to meet obligations.
- B. Include him in family outings even when he is drinking.
- C. Search the house regularly for alcohol.
- D. Try to maintain a normal home environment for yourself and the children.
Correct Answer: D
Rationale: Maintaining a normal home environment breaks codependency, unlike enabling excuses, including him while drinking, or searching for alcohol.
You may also like to solve these questions
The nurse is coleading a family therapy group with a client addicted to alcohol. Which statement made by the wife indicates the need for additional education regarding alcoholism as a family illness?
- A. I have to call in sick for my husband when he is too hung over to go to work.
- B. Last time he got arrested, I just let him sit in jail.
- C. We have separated our finances so that I will not go broke.
- D. I take my kids with me to Al-anon meetings every week.
Correct Answer: A
Rationale: Calling in sick enables the addiction, indicating a need for education on avoiding codependent behaviors, unlike jail time, financial separation, or Al-anon attendance.
A client is readmitted to the substance abuse program for the second time in 6 months for alcohol abuse. On admission, he tells the nurse, 'I am so ashamed.' What should the nurse reply?
- A. I really thought you would make it.
- B. Tell me what has happened since your last admission.
- C. You have nothing to be ashamed of.
- D. Why did you start drinking again?
Correct Answer: B
Rationale: Asking about recent events encourages therapeutic discussion of the client's situation, unlike judgmental, dismissive, or confrontational responses.
A client calls the emergency department of the local hospital reporting that after 16 years of heavy drinking, he is tired and wants to quit 'cold turkey.' What would be the best response by the nurse?
- A. It is not safe to stop drinking suddenly without medicine.
- B. You sound really motivated. Come in and we will help you find a treatment center.
- C. After a few days of rest, you should feel much better as long as you do not drink anything.
- D. You will likely feel anxious and get a severe headache. Treat these symptoms with acetaminophen and rest, and come in if they do not get better in 3 to 5 days.
Correct Answer: A
Rationale: Sudden alcohol cessation can cause life-threatening withdrawal, requiring medical supervision, unlike relying on rest, symptom management, or motivation alone.
Which of the following groups could benefit most from prevention programs?
- A. Children, prior to first use
- B. Adults who have already engaged in substance abuse
- C. Older adults
- D. Infants
Correct Answer: A
Rationale: Children before first use benefit most from prevention due to their impressionability and lack of addiction, unlike adults, older adults, or infants.
Which reasons make it necessary for the nurse to examine his or her beliefs and attitudes about substance abuse?
- A. The nurse may be overly harsh and critical of the client.
- B. The nurse may unknowingly act out old family roles and engage in enabling behavior.
- C. The nurse or close friends and family of the nurse may abuse substances.
- D. The nurse may have different attitudes about various substances of abuse.
- E. The nurse is not likely to have had any experience with substance abuse.
Correct Answer: A,B,C,D
Rationale: Examining beliefs prevents harshness, enabling, or bias from personal or familial substance abuse experiences, as nurses are likely affected given its prevalence.